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Search › Oregon › 122300000X

Jason Atack, DMD

NPI 1235382557 · on the registry since 2008 · sole proprietor

Practice

Address
14125 Sw Farmington Rd
Beaverton, OR 97005
Phone
(503) 646-4432
Fax
(971) 223-1710
Organisation at this address
Regal Healthcare, Llc
Robert S. Rath M.D.,P.C.
James B. Johnsen, D.M.D.
Dennis L. Simonsen Dmd Pc
Jmj Psychological Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon